Apply for Access to Registers Direct

Company: ?
Registration:
Number 		?
Contact: ?
Job Title: ?
Address: ?
Postcode: ?
Tel: ? Fax : ?
DX No: ? LP No : ?
Email: ?

Type of Organisation : ? vvvvvother :
Principal Business Activity: ?

Please enter the names of the users who will require access to Registers Direct: ?

Please indicate how you will be paying for searches: ?

If paying by Direct Debit please print off the Direct Debit mandate form and send it to us. Mandate Form

If paying by BACS (Bank Automated Credit System) you can contact Cathy Allan or Shahila Begum on 0131 479 3633 to obtain the relevant information.
   
How would you like to receive your Invoice: ?
if you have chosen a printed invoice we require a contact name and if you have chosen an electronic invoice we require an email address.
?
   
How did you find out about Registers Direct: ? vvvvvvvother :
 
I have read the Terms and Conditions and agree to be legally bound by them
(This agreement will only be binding on acceptance of your application)